Kristin L Anderson, MD
Individual provider Active NPI Internal Medicine Physician · Providence, RI
NPI 1740236173 · NPPES record last updated Jan 4, 2016
Key facts
- NPI
- 1740236173
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD12046 (RI)
- Practice address
- 593 Eddy St
Providence, RI 02903-4923 - Phone
- (401) 444-8638
- Fax
- (401) 444-2085
- NPI assigned
- May 26, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060608000321 | RI | Practitioner - Pediatric Medicine | 2567474638 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island Hospital | Current |
Accepting new patients | |
| Rhode Island Hospital | Current |
Accepting new patients | |
| Southcoast Physicians Group, Inc. | Internal Medicine | Past | Accepting new patients |
| Rhode Island Hospital | Past | Accepting new patients | |
| Southcoast Primary Care Inc | Internal Medicine | Past | Accepting new patients |
Locations
1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000
2 Dudley St
Providence, RI 02905
Phone (401) 444-2299
245 Chapman St
Ste 100
Providence, RI 02905
Phone (401) 444-6118
593 Eddy St
Providence, RI 02903
111 Plain St
Fl 3
Providence, RI 02903
Phone (401) 444-3355
593 Eddy St
#122
Providence, RI 02903
Phone (401) 444-6195
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
593 Eddy St
Ste 5
Providence, RI 02903
Phone (401) 444-3996
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD12046 | RI | Yes |
Addresses
Primary practice location
593 Eddy St
Providence, RI 02903-4923
Mailing address
593 Eddy St
Hasbro 122
Providence, RI 02903-4923
Phone (401) 444-8638
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KA61787 | Medicaid | RI |
Other names
- Kristin Lehr
Other providers in Providence, RI
- George Anderson
- Grace Maglio Anderson
- Janet Louise Anderson
- Jared Anderson
- Kathryn Margaret Anderson
- Kyle Anderson
- Lauren Frances Anderson
- Micheline Ruth Anderson
- Shelley Vicky Anderson
- Thea Anderson
All providers in Providence, RI · Internal Medicine Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.